NPI | 1659686772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127213) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2010-08-12 |
Last Update Date | 2022-11-29 |